Management of fetofetal transfusion syndrome

Feto-fetal transfusion syndrome contributes heavily to high rates of perinatal mortality and morbidity in monochorionic multiple pregnancies. Its prenatal management has been controversial for at least 25 years. We review the recent literature in order to present the basis for a pragmatic reappraisal of the management of this condition. Laser surgery of the chorionic plate inter-twin anastomoses is the best first-line treatment when the syndrome develops before 26 weeks' gestation. Survival (including quality of survival) and gestational age at delivery are improved when compared to serial amnioreduction. Second-line treatment options include repeat-laser, intra-uterine blood transfusion, serial amnioreduction, selective feticide using bipolar cord coagulation or elective delivery, depending upon gestational age and the severity of the disease and its complications. We have found that fetoscopic placental surgery has proven itself over simplicity of amnioreduction. There is no evidence that treatment should be customized according to the stage of the disease at diagnosis. Early recognition of the syndrome through fortnightly serial ultrasound follow-up of all monochorionic pregnancies should ensure timely referral and make up for geographical constraints. Laser surgery should now be available in fetal medicine units that are managing at least 20 cases per year. Copyright © 2005 John Wiley & Sons, Ltd.     

Herbicide Roundup® and its main constituents cause oxidative stress and inhibit acetylcholinesterase in liver of Carassius auratus

Roundup® is a glyphosate-based herbicide containing a mixture of surfactants. This paper evaluates the toxic effects of Roundup® and its main constituents on the goldfish, Carassius auratus, after 7 days exposure. Fish were exposed to 0.16, 0.032 and 0.0064 mg/L of Roundup® [containing 41% isopropylamine salt of glyphosate (G.I.S) and 18% polyoxyethylene amine (POEA)], G.I.S, and POEA. Their livers were taken for determining reactive oxygen species (ROS), superoxide dismutase (SOD) activity, malondialdehye (MDA) content and acetylcholinesterase (AChE) activity. Hydroxyl radical (·OH) could be induced by exposing Roundup® at a rate of 43%–111%, G.I.S at 90%–124% and POEA at142%–157%. A decreased SOD activity was observed in fish exposed to G.I.S and POEA. The contents of MDA significantly increased when exposed to Roundup® at all concentrations, 0.16 mg/L G.I.S and 0.032 mg/L POEA. The exposure led to an inhibition of AChE in livers overall during the experimental periods. POEA was more toxic than Roundup® or G.I.S during this experiment. AChE and ·OH are supposed to be sensitive biomarkers of the exposure of Roundup® and its main constituents to C. auratus.     

Proliferation of nonconforming land uses in agricultural envelope of urban Hong Kong

Until the late 1960s rural Hong Kong had an attractive rustic landscape and a small but active farming population. The recent widespread agricultural decline provided opportunities for urban-oriented activities to invade, mainly as open storage and workshops unsuitable in city areas. Rapid container-port expansion and cross-border China trade generate demands for cheap and accessible land for non-conforming uses (NCU). Rural development control and land-use planning are inherently weak, and formal provision for such uses is lacking. An unfavorable landmark court judgement allows landowners to degrade the countryside. The activities have caused acute environmental problems, telescoped into a small territory, including visual blight, pollution, drainage blockage, loss of wetland habitats, and increased flooding hazard. The distinction between urban and rural has been blurred in the destruction of the valuable countryside heritage. An interim legislative amendment fails to stop unauthorized conversion of farmland. In the long term, an integrated and comprehensive rural planning strategy to conserve inherent elements, as well as accommodating selected urban spillover in properly located and serviced sites, is needed.     

Characterisation of workers' exposure in a Russian nickel refinery

In support of a feasibility study of reproductive and developmental health among females employed in the Monchegorsk (Russia) nickel refinery, personal exposure and biological monitoring assessments were conducted. The inhalable aerosol fraction was measured and characterised by chemical speciation and particle-size distribution measurements. Unexpected findings were that: (i), pyrometallurgical working environments had significant levels of water-soluble nickel; (ii), significant exposure to cobalt occurred for the nickel workers; (iii), particles of size corresponding to the thoracic and respirable fractions appeared to be virtually absent in most of the areas surveyed. The water-soluble fraction is judged to be primarily responsible for the observed urinary nickel and cobalt concentrations. It is concluded relative to current international occupational-exposure limits for nickel in air, and because of the high nickel concentrations observed in urine, that the Monchegorsk nickel workers are heavily exposed. The implication of this finding for follow-up epidemiological work is alluded to.     

Mountain goat response to hydroelectric exploration in northwestern British Columbia

The behavioral responses of more than 800 mountain goats, comprised of 195 social groups, were recorded during hydroelectric exploration activities (primarily aircraft) in northwestern British Columbia. Four categories of overt response were recorded during case tests, ranging from maintenance activity to severe flight. More than 80 percent (n=667) of the observed goats elicited some form of behavioral stress-response, with 33 percent (n=265) displaying a severe flight response to local rock or plant cover. Multiple regression analysis inferred goat responses to be statistically independent of the time of year, type, and vertical orientation of disturbance and group size. As expected, significant correlations (p≤0.05) existed between distance of disturbance, geographic area, cover availability, and degree of awareness. Responses were stimulated primarily by auditory and secondarily by visual cues. Repeated aerial and ground follow-up surveys documented temporary range abandonment and changing observability indices (habitat use and activity patterns) associated with areas of intense exploration activity. The assessed data offer mitigation possibilities and enable formulation of management guidelines to lessen project impacts during future exploration, construction, and operation phases.     

Stable sulfur isotope ratio indicates long-term changes in sulfur deposition in the Broadbalk experiment since 1845

Archived wheat (Triticum aestivum L.) grain and straw, and soil samples from the control plot of the Rothamsted Broadbalk Experiment, located in southeastern England and established in 1843, were used to investigate the effects of dramatically changing SO2 pollution inputs on the concentrations and stable isotope ratios (delta34S) of S in the samples. Representative coal samples from UK major coal fields were also determined for delta34S. Concentrations of S showed no clear trends in either grain or straw over the 155 years from 1845 to 1999. However, grain and straw delta34S decreased rapidly from 6 to 7/1000 in 1845 to -2 to -5/1000 in the early 1970s, and since then have increased to 0.5 to 2/1000 in the late 1990s. This pattern mirrored the trend of UK SO2 emissions over the 155 years. Both grain and straw delta34S correlated strongly and negatively with UK SO2 emissions (R2 > 0.89), but the relationships were different for the pre- and post-1970 data sets. Soil delta34S also decreased considerably, from 8.2/1000 in 1865 to 3.7 to 4.5/1000 during 1965-1999. A negative delta34S value was inferred for the anthropogenic S deposited at the experimental site before 1970, and further confirmed by negative delta34S values (-6 to -10/1000) found in the coal samples from southeastern England and southern Wales. Based on the S isotope ratios, we estimated that anthropogenic S contributed 62 to 78% of the S uptake by wheat at the peak of SO2 emissions, and accounted for 28 to 37% of the topsoil S in 1965.